Patients coming to the Duke Sports Medicine Center can download patient history forms for their appropriate medical problem.

Please click on the form that correlates with your injury/problem and complete and bring to clinic with you. (Please print single-sided only and fill out in ink).

This will help expedite your clinic appointment with us.

School Athletics Forms

Durham Public School Athletics Form (PDF, 136KB)
Durham Public Schools HIPAA Form (PDF, 20KB)
Orange County Public Schools Athletics Form (PDF, 28KB)
Orange County HIPAA Form (PDF, 20KB)
Wake County Public Schools Athletics Form(PDF, 116KB)

Patient History Forms

Patient Contact Form (PDF, 76KB)